MOHAMMED N. ISLAM (NPI# 1750488631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750488631 |
| Entity Type | Individual |
| Full Name | MOHAMMED N. ISLAM |
| Credential | MD |
| Practice Address |
1265 Wayne Ave 119 Prof. Bldg, Suite 103 Indiana PA 15701-3501 |
| Mailing Address |
9 North 7th Street Suite 203 Indiana PA 15701-1880 |
| Practice Telephone | 7244631046 |
| Practice Fax Number | 7244632314 |
| Mailing Telephone | 7243577196 |
| Mailing Fax Number | 7243577279 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD436442 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD436442 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
195804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01663309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1407179831 | Mohammed Aminul Islam | Pharmacist | 7 Shetland Cir, Highland Mills, NY 10930-8303 | 2010-03-12 |
| 1346479953 | Mohammed F Islam | Registered Nurse | 4308 40th St, 6d, Sunnyside, NY 11104-3830 | 2009-07-06 |
| 1942460670 | Mohammed Mominul Islam | Internal Medicine | 526 Pacific Ave, Apartment Number 407, Atlantic City, NJ 08401-7662 | 2008-06-16 |
| 1891896551 | Mohammed S Islam | Pharmacist | 72 Storey Ln, Yonkers, NY 10710-4412 | 2006-09-26 |
| 1558472977 | Mohammed Nazrul Islam | Psychiatry & Neurology | 243 Pine St, Mount Holly, NJ 08060-2201 | 2006-08-31 |
| 1114938461 | Mohammed Islam | Internal Medicine | Rbmc 530 New Brunswick Ave, Dept of Internal Medicine, Perth Amboy, NJ 08861 | 2006-08-11 |
| 1669415386 | Mohammed Shahidul Islam | Psychiatry & Neurology | 2014 Charlotte Avenue, Nashville, TN 37203 | 2006-06-13 |
| 1245205012 | Mohammed Qamrul Islam | Neuromusculoskeletal Medicine & OMM | 40-27, 74th Street, Elmhurst, NY 11040-2505 | 2006-02-23 |
| 1992322101 | Mohammed Shahidul Islam | Internal Medicine | 9131 175th St, Jamaica, NY 11432-5517 | 2020-07-03 |
| Street Address |
1265 WAYNE AVE 119 PROF. BLDG, SUITE 103 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782555 | Andrew David Cash | Internal Medicine | 1265 Wayne Ave, Suite 207, Indiana, PA 15701-3501 | 2005-07-07 |
| 1184071854 | Bosco E Noronha Md,pc | Otolaryngology | 1265 Wayne Ave, Suite 100, Indiana, PA 15701-3501 | 2016-05-23 |
| 1538413026 | Matthew N Klain Md PC | Non-Pharmacy Dispensing Site | 1265 Wayne Ave, 102, Indiana, PA 15701-3501 | 2012-11-05 |
| 1851648117 | Chelsea Ann Lizik | Optometrist | 1265 Wayne Ave, 119 Professional Center, Suite 203, Indiana, PA 15701-3501 | 2012-08-06 |
| 1952609513 | Upmc Community Medicine Inc | Internal Medicine | 1265 Wayne Ave, Suite 306, Indiana, PA 15701-3501 | 2011-03-07 |
| 1518262740 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 1265 Wayne Ave, Suite 312, 119 Professional Center, Indiana, PA 15701-3501 | 2011-01-19 |
| 1134423809 | Thomas W Zaucha | Physical Therapist | 1265 Wayne Ave, 119 Professional Center, Suite 312, Indiana, PA 15701-3501 | 2011-01-10 |
| 1285863522 | Kayla Marie Lazor | Physical Therapist | 1265 Wayne Ave, Suite 312, Indiana, PA 15701-3501 | 2009-07-08 |
| 1457597619 | Jessica Kelly | Audiologist-Hearing Aid Fitter | 1265 Wayne Ave, Ste 100, Indiana, PA 15701-3578 | 2008-12-18 |
| 1801071469 | Vijaya G Seshadri P C | Pediatrics | 1265 Wayne Ave, 119 Professional Center, Suite 306, Indiana, PA 15701-3501 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.